School of Nursing, Duke University, Durham, NC, USA.
Center for Health Policy & Inequalities Research, Duke University, Durham, NC, USA.
West J Nurs Res. 2021 Jun;43(6):509-516. doi: 10.1177/0193945920952059. Epub 2020 Aug 25.
Illness uncertainty is prevalent in patients awaiting liver transplant. We described high levels of illness uncertainty in these patients and examined relationships between uncertainty and person factors and the antecedents of uncertainty. Mishel uncertainty in illness scale was used to measure illness uncertainty. We used modes and interquartile range (IQR) to describe illness uncertainty levels in 115 patients. Multiple logistic and linear regression models estimated the associations of uncertainty with hypothesized antecedents. High total illness uncertainty score was reported by 15.6% of the patients. After adjusting for all variables, illness uncertainty was associated with two antecedents of uncertainty, low social well-being (OR = 0.816; = .025) and low self-efficacy (OR = 0.931; = .013). Complexity was negatively associated with social well-being; ambiguity and inconsistency were negatively associated with self-efficacy. One in seven patients experienced high illness uncertainty. Social well-being and self-efficacy were negatively related to illness uncertainty.
在等待肝移植的患者中，普遍存在疾病不确定性。我们描述了这些患者的高度疾病不确定性，并研究了不确定性与个体因素以及不确定性的前因之间的关系。使用Mishel 疾病不确定感量表来衡量疾病不确定性。我们使用模式和四分位距（IQR）来描述 115 名患者的疾病不确定性水平。多元逻辑回归和线性回归模型估计了不确定性与假设前因之间的关联。15.6%的患者报告了较高的总体疾病不确定性评分。在调整所有变量后，疾病不确定性与两个不确定性前因有关，即低社会福利（OR=0.816；=0.025）和低自我效能（OR=0.931；=0.013）。复杂性与社会福利呈负相关；模糊性和不一致性与自我效能呈负相关。每七个患者中就有一个经历了高度的疾病不确定性。社会福利和自我效能与疾病不确定性呈负相关。
